Provider Demographics
NPI:1609259407
Name:OROZCO, LAURA LORRAINE
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LORRAINE
Last Name:OROZCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:603 E ARGYLE
Mailing Address - City:HAGERMAN
Mailing Address - State:NM
Mailing Address - Zip Code:88232-0264
Mailing Address - Country:US
Mailing Address - Phone:575-910-8765
Mailing Address - Fax:
Practice Address - Street 1:603 E. ARGYLE
Practice Address - Street 2:
Practice Address - City:HAGERMAN
Practice Address - State:NM
Practice Address - Zip Code:88232-0264
Practice Address - Country:US
Practice Address - Phone:575-910-8765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician